POINT & LINE Hair Lounge
Health & Safety Questionnaire & Procedures Acknowledgment
Email address *
General Health Check
The CDC identifies the following as symptoms of COVID-19:

Fever or chills
Cough
Shortness of breath or difficulty breathing
Fatigue
Muscle or body aches
Headache
New loss of taste or smell
Sore throat
Congestion or runny nose
Nausea or vomiting
Diarrhea
Are you currently exhibiting ANY of the above symptoms? *
Have you experienced ANY of the above symptoms in the last 14 days? *
Have you been in contact with anyone who was experiencing ANY of the above symptoms? *
Have you tested positive for COVID-19? *
Have you been in contact with anyone who tested positive for COVID-19? *
Have you travelled domestically via commercial airline, bus, or train in the last 14 days? *
Have you travelled internationally via commercial airline, bus, or train in the last 14 days? *
Anything else you would like me to know about the above responses?
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